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Satisfaction with Diabetes Services at Primary Care Level, Khartoum State, Sudan

机译：苏丹喀土穆州初级保健机构对糖尿病服务的满意度

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Background: Patients` satisfaction is an important source of information about outcome quality of care. The objective was to measure satisfaction with diabetes services provided to diabetic patients attending primary care health centres compared to specialized diabetes centres in Khartoum state, Sudan. Methods: A cross sectional study was carried targeting 712 diabetic patients randomly selected from 40 primary care health centres and three specialized diabetes centres in Khartoum State. A structured questionnaire was used included patients` characteristics and three point Likert scale to assess satisfaction. Ethical approval was obtained by informed consent from the patients. Data managed by statistical package for social science version 20. Factor analysis was carried to extract latent components of the scale. Multivariate analysis of variance tested the difference in satisfaction between primary care health centres and specialized diabetes centres at an acceptable level of significance less than 0.05. Results: The proportion of patients satisfied with diabetic services in primary health care centres was significantly low compared to specialized diabetes centres, 113 (24.5%) and 145 (57.8%) respectively, P=0.001. The mean satisfaction scores in primary care health centres and specialized diabetes centres were 1.85 ± 0.23 and 2.12± 0.33 respectively, P=0.001. Five factors were extracted from the satisfaction scale which contributed by 56.76% to the total variance. The mean satisfaction scores were significantly lower in primary care health centres compared to specialized diabetes centres regarding consultation session, technical capacity and referral, information and counseling and general satisfaction. Conclusion: Satisfaction with diabetes services was low in primary care health centres in Khartoum State. Capacity building regarding diabetes services at primary care level is recommended.
机译：背景：患者的满意度是有关治疗结果质量的重要信息来源。目的是衡量与在苏丹喀土穆州的专门糖尿病中心相比，向就诊初级保健中心的糖尿病患者提供的糖尿病服务的满意度。方法：一项横断面研究针对从喀土穆州的40个初级保健健康中心和三个专门的糖尿病中心随机选择的712名糖尿病患者进行。使用结构化问卷，包括患者特征和三分李克特量表来评估满意度。通过患者的知情同意获得伦理批准。统计软件包管理的数据适用于社会科学第20版。进行因子分析以提取量表的潜在组成部分。方差的多变量分析以可接受的显着性水平低于0.05检验了初级保健健康中心和专业糖尿病中心之间的满意度差异。结果：与专门的糖尿病中心相比，在初级卫生保健中心对糖尿病服务满意的患者比例明显较低，分别为113（24.5％）和145（57.8％），P = 0.001。初级保健中心和专业糖尿病中心的平均满意度得分分别为1.85±0.23和2.12±0.33，P = 0.001。从满意度量表中提取了五个因素，这些因素对总方差的贡献为56.76％。在咨询会议，技术能力和转诊，信息和咨询以及总体满意度方面，初级保健中心的平均满意度得分明显低于专业糖尿病中心。结论：喀土穆州初级卫生保健中心对糖尿病服务的满意度较低。建议在基层医疗机构进行有关糖尿病服务的能力建设。

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